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It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. The patient's electrolyte levels must be checked to consider the need for diuretics.

Do you have pain with menstrual periods or intercourse? If stem cells remain viable after radiation therapy, patients may regain fertility within several years. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. 40 Patients using these agents should be counseled about these risks. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008.

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6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated.

More Details About Prevalence of Infertility in Nigeria Pdf

Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes.

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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Homologous insemination refers to the use of sperm from the patient's partner. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. This applies to the ability to conceive with her eggs, but not with donor eggs. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. Abnormal semen may not be able to carry the sperm effectively. Theoretically, with this therapy, we can get artificial gamets in vitro. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility.